|
SUSAN G. GROSS, D. D. S. , P. A. PROFIT SHARING PLAN
|
2022
|
411430455
|
2023-02-14
|
SUSAN G. GROSS, D.D.S., P.A.
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1986-07-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9529260020
|
| Plan sponsor’s
address |
5009 EXCELSIOR BOULEVARD, ST. LOUIS PARK, MN, 55416
|
|
|
SUSAN G. GROSS, D.D.S., P.A. PROFIT SHARING PLAN
|
2021
|
411430455
|
2022-10-04
|
SUSAN G. GROSS, D.D.S., P.A.
|
13
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1986-07-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9529260020
|
| Plan sponsor’s
address |
5009 EXCELSIOR BOULEVARD, ST. LOUIS PARK, MN, 55416
|
|
|
SUSAN G. GROSS, D.D.S., P.A. PROFIT SHARING PLAN
|
2020
|
411430455
|
2021-08-17
|
SUSAN G. GROSS, D.D.S., P.A.
|
13
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1986-07-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9529260020
|
| Plan sponsor’s
address |
5009 EXCELSIOR BOULEVARD, ST. LOUIS PARK, MN, 55416
|
Signature of
| Role |
Plan administrator |
| Date |
2021-08-17 |
| Name of individual signing |
SUSAN G. GROSS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2021-08-17 |
| Name of individual signing |
SUSAN G GROSS, DDS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SUSAN G. GROSS, D.D.S., P.A. PROFIT SHARING PLAN
|
2019
|
411430455
|
2020-10-01
|
SUSAN G. GROSS, D.D.S., P.A.
|
13
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1986-07-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9529260020
|
| Plan sponsor’s
address |
5009 EXCELSIOR BOULEVARD, ST. LOUIS PARK, MN, 55416
|
|
|
SUSAN G. GROSS, D.D.S., P.A. PROFIT SHARING PLAN
|
2018
|
411430455
|
2020-01-12
|
SUSAN G. GROSS, D.D.S., P.A.
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1986-07-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9529260020
|
| Plan sponsor’s
address |
5009 EXCELSIOR BOULEVARD, ST. LOUIS PARK, MN, 55416
|
Signature of
| Role |
Plan administrator |
| Date |
2020-01-12 |
| Name of individual signing |
SUSAN G. GROSS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2020-01-12 |
| Name of individual signing |
SUSAN G GROSS, DDS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SUSAN G. GROSS, D.D.S., P.A. PROFIT SHARING PLAN
|
2015
|
411430455
|
2017-01-24
|
SUSAN G. GROSS, D.D.S., P.A.
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1986-07-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
9529260020
|
| Plan sponsor’s
address |
5009 EXCELSIOR BOULEVARD, ST. LOUIS PARK, MN, 55416
|
Signature of
| Role |
Plan administrator |
| Date |
2017-01-24 |
| Name of individual signing |
SUSAN G. GROSS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
